Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROEL VALADEZ, JR., D.D.S., P.L.L.C.

NPI: 1720312333 · ALICE, TX 78332 · General Practice Dentistry · NPI assigned 09/29/2009

$69K
Total Medicaid Paid
3,180
Total Claims
3,061
Beneficiaries
10
Codes Billed
2020-11
First Month
2022-02
Last Month

Provider Details

Authorized OfficialVALADEZ, ROEL (MANAGER)
NPI Enumeration Date09/29/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 226 $4K
2021 2,729 $60K
2022 225 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 610 603 $17K
D1120 Prophylaxis - child 401 395 $14K
D1110 Prophylaxis - adult 212 211 $11K
D1208 Topical application of fluoride, excluding varnish 588 582 $8K
D0274 Bitewings - four radiographic images 242 240 $8K
D0272 Bitewings - two radiographic images 235 230 $5K
D1351 Sealant - per tooth 88 13 $2K
D0145 Oral evaluation for a patient under three years of age 15 15 $2K
D1206 Topical application of fluoride varnish 20 16 $204.33
D0603 769 756 $0.00